Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas James Pruett, PA-C

Individual provider Physician Assistant · NPI 1164737417

Nicholas James Pruett, PA-C is a Physician Assistant in Bloomington, Minnesota. Qualified in 2010, 16 years ago. Practices with National Dizzy and Balance Center, Ltd, a 30-clinician group, works from 6 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4801 W 81st St Ste 112
Bloomington, MN 55437-1111
Phone: (952) 345-3000
Fax: (952) 345-6789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1630 101st Ave Ne Ste 160, Blaine, MN 55449-3403 — (952) 345-3000
  • 162 Cobblestone Ln, Burnsville, MN 55337-4578 — (952) 345-3000
  • 11850 Blackfoot St Nw Ste 490, Coon Rapids, MN 55433-2773 — (763) 427-1137
  • 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 — (651) 968-5201
  • 7650 Currell Blvd Ste 260, Woodbury, MN 55125-8209 — (952) 345-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10813 (MN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 10813 (MN)

Record details

NPI number1164737417
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2010
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice National Dizzy And Balance Center,Ltd. — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Bloomington